Provider Demographics
NPI:1336905769
Name:RODRIGUEZ GARCIA, ARSENIO (RBT-20-134146)
Entity Type:Individual
Prefix:
First Name:ARSENIO
Middle Name:
Last Name:RODRIGUEZ GARCIA
Suffix:
Gender:M
Credentials:RBT-20-134146
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7545 E TREASURE DR APT 5A
Mailing Address - Street 2:
Mailing Address - City:NORTH BAY VILLAGE
Mailing Address - State:FL
Mailing Address - Zip Code:33141-4308
Mailing Address - Country:US
Mailing Address - Phone:786-317-0100
Mailing Address - Fax:
Practice Address - Street 1:7545 E TREASURE DR APT 5A
Practice Address - Street 2:
Practice Address - City:NORTH BAY VILLAGE
Practice Address - State:FL
Practice Address - Zip Code:33141-4308
Practice Address - Country:US
Practice Address - Phone:786-317-0100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-134146106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician